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$60k - $75k
...Quadrant Health Group, i s seeking a passionate and dedicated Utilization Review Specialist to join our growing team. You will play a vital... ...office position and must have prior UR & clinical experience. Remote hires and applicants without prior experience will not be...Remote workFull timeWork at officeQuadrant Health Group
Delray Beach, FL1 day ago$56.44 - $87.63 per hour
...Description This position is a HYBRID role. You must be available to work Onsite in Anaheim, CA 20% and work remote 80%! Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost effective care...Remote workFull timeWork at officeLocal areaWork from homeShift workProvidence Health & Service
Anaheim, CA20 hours ago- ...this dept is 100% remote, with a variety of service lines and levels of care (inpatient, Extended Hospital Outpatient and OBS).... ...3-year acute medical Care Manager/UM experience performing utilization review in a hospital setting (not health plan/medical group) • InterQual...Remote work
Pacer Group
Torrance, CA1 day ago - ...Description Registered Nurse - Utilization Review Location: Apple Valley, CA Duration: 13 weeks Pay Rate: $40 -$50 / Hr. Shift... ...staff is needed) Day Shift 0800-1630, (UR positions will be remote) Need to have UR experience, specifically with InterQual...Remote workShift workWeekend workDay shift
Zenex Partners
Apple Valley, CA4 days ago - ...Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers... ...Workers’ Compensation Board Certification to conduct Utilization Reviews. This is a fully remote, non-clinical role offering supplemental income with...Remote workPrice workExtra incomeFor contractorsFlexible hours
Dane Street
New York, NY20 hours ago - ...Job Description Job Title: Utilization Management RN Location: Remote – must reside within the PA/NJ/DE tri-state area for potential conversion to... ...’ clinical conditions through detailed medical record review to determine medical necessity for services. Using advanced...Remote workFull time
IntePros
Philadelphia, PA8 days ago $8 per hour
...Description Job Opportunity: Registered Nurse - Utilization Review Facility: CSMN - 8714024 - MNS Quality Management Location: Los... ...% Holiday Pay: 1.5% Additional Information: ***Hybrid/Remote within a commutable distance to Beverly Hills/Los Angeles***...Remote workHourly payContract workShift workZenex Partners
Los Angeles, CA1 day ago- ...Job Title: Care review Clinician | Utilization review nurse Location: 100% Remote in CA Duration: 06 months+ contract (Possibility of extension) Shift timings: Standard hours - 8:00 AM to 5:00 PM (Mon-Fri) Pay Rate - $47.14/hr on W2 Job Summary:...Remote workContract workWork at officeShift work
Integrated Resources
Long Beach, CA4 days ago $70 - $74 per hour
...Talent4Health is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Cambridge, Massachusetts. Job Description... ...: Local Contract Hybrid position: in-person and remote. Must have Interqual criteria experience. Must have...Remote workHourly payContract workLocal areaMonday to FridayShift workDay shifttalent4health
Cambridge, MA4 hours agonew$56.44 - $87.63 per hour
...Description Join our exceptional team as a Utilization Review Nurse at Providence Holy Cross Medical Center. This full-time position offers... ...upon hire. Minimum of 2 years experience working in a remote Utilization Review environment or as an acute hospital case manager...Remote workFull timeShift workDay shiftProvidence Health and Services
Mission Hills, CA4 days ago- ...Position Title: Utilization Review Nurse Location: Fully Remote Position Summary The Utilization Review Nurse serves as a key liaison in coordinating resources and services to meet patients’ needs, ensuring efficient, cost-effective, and compliant delivery of...Remote workPart timeFlexible hoursWeekend work
IntePros
Phoenix, AZ3 days ago $56.44 - $87.63 per hour
...Description RN Utilization Review at Providence Holy Cross Medical Center in Mission Hills, CA. This position is Full- time and will work... ...Registered Nurse License. ~2 years Experience working in a remote UR environment or working as an acute hospital case manager....Remote workFull timeShift workDay shiftProvidence Service
Mission Hills, CA2 days ago$56.44 - $87.63 per hour
...Description RN Utilization Review at Providence Holy Cross Medical Center in Mission Hills, CA. This position is Part- time and will work... ...Nurse License upon hire. ~2 years - Experience working in a remote UR environment or working as an acute hospital case manager....Remote workPart timeLocal areaShift workDay shiftProvidence Service
Mission Hills, CA2 days ago$42.39k - $58.26k
...025 Closing Date: 11/14/2025 5:00 PM Pacific The Job Arrowhead Regional Medical Center is recruiting for Utilization Review Technicians who review and monitor medical records; recommend actions to assure patient care is appropriate, medically necessary...SuggestedFull timeWork experience placementVisa sponsorshipAll shiftsShift workNight shiftCounty of San Bernardino, CA
San Bernardino, CA1 day ago- ...assessment services for health plans nationwide utilizing Nurse Practitioners and Physician... ...requirements, as outlined below. This is a remote position. Responsibilities Enter... ...with applicable state and federal law; Review a representative sample of CCS Practitioner...Remote workWork from home
ComplexCare Solutions
Charleston, SC4 hours agonew $70 - $74 per hour
...Talent4Health is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Cambridge, Massachusetts. Job... ...between Hospitals. Hybrid position: in person and remotely. MUST float between Hospitals.Hybrid position: in person...Remote workHourly payContract workLocal areaMonday to FridayShift workDay shiftTalent4Health
Cambridge, MA3 days ago$3,000 per month
...clinical trials, online surveys, secret shopping, and product reviews. If you enjoy sharing your opinion and making an impact, this opportunity... ...efficiently. - Willingness to learn and develop skills for remote work success. What You'll Enjoy: - Participate in online...Remote workExtra incomeTemporary workPart timeWork from homeMaxion Research
Texas3 days ago- ...Overview Job Title: Customer Account Representative - Water Utility Exp Required Location: Fremont, CA 94538 Duration:... ...Assignments are given in specific terms and are subject to frequent review while in progress and upon completion, except where tasks are well...Contract workTemporary workWork at officeMonday to FridayShift work
22nd Century Technologies
Fremont, CA1 day ago $72 - $76 per hour
...LanceSoft is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Cambridge, Massachusetts. Job Description... ...and Somerville Hospital. Hybrid position: in person and remotely. (Be sure your candidate is agreeable) MUST have...Remote workHourly payWeekly payLong term contractPermanent employmentContract workTemporary workWork at officeLocal areaMonday to FridayShift workLanceSoft
Cambridge, MA20 hours ago- ...person band for producing weekly YouTube videos and accompanying review articles. You will be creating video similar to this channel:... ...super high-quality written articles. You will have the support of a remote video editor and a web-developer. Key Responsibilities...Remote workWork at office
eNNOVATION Brands
El Segundo, CA4 days ago - ...0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Case Management (Utilization Review) About Medical Solutions At Medical Solutions, we’re people who care, helping people who care. No matter how you look at it...Weekly payDaily paidLocal areaWork from homeShift work
Medical Solutions
Baltimore, MD24 days ago $1,824 per week
...0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Case Management (Utilization Review) About Medical Solutions At Medical Solutions, we’re people who care, helping people who care. No matter how you look at...Weekly payDaily paidLocal areaWork from homeShift workMedical Solutions
Baltimore, MD4 days ago$269.5k - $425.5k
...or family medicine physician to join our Utilization Management team. Optum is a clinician-... ...You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take... ...determination processes Participates in case review and medical necessity determination...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaWork from homeUnitedHealth Group
Los Angeles, CA1 day ago- ...Utilization Management Nurse 2 Become a part of our caring community and help us put health... ...in utilization management/utilization review for a health plan or acute care setting... ...Weekly Hours: 40 Travel: While this is a remote position, occasional travel to Humana's...Remote workTemporary workApprenticeshipWork at officeWork from homeHome office
Wyoming Staffing
Indianapolis, IN2 days ago - ...Immediate need for a talented RN Care management Coordinator/Utilization Management RN. This is a 04+months contract... ...with long-term potential and is located in Philadelphia, PA(Remote) . Please review the job description below and contact me ASAP if you are interested...Remote workContract workLocal areaImmediate start
Pyramid Consulting, Inc
Philadelphia, PA12 days ago - ...Affordability business unit. This is a front-line utilization management position that has core... ...in the areas of inpatient concurrent review, pre and post service utilization review... ...and approved out-of-state roles remain remote. o Employees living more than 50 miles...Remote workFull timePart timeWork at officeLocal areaWork from homeHome officeWeekend workAfternoon shift1 day per week
Blue Shield Of California
Rancho Cordova, CA20 hours ago - ...Position Title: Concurrent Review Nurse Work Location: Remote Assignment Duration: 6 months Work Schedule: Sunday-Thursday 8am-5pm, OT... ...escalations or requests for additional information from utilization management or quality teams. Track and prioritize...Remote work
Spectraforce Technologies
Raleigh, NC4 days ago - ...verifies the accuracy of orders from customers, utilizing the resolution reports. Answers... ...hybrid model (in office part of the week and remote part of the week). Successfully pass a... ...laws. For further information, please review the Know Your Rights notice from the...Remote workFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayFlexible hours
Concordance Healthcare Solutions
Cincinnati, OH4 days ago $50k - $52k
...and small publishers on best practices for utilizing BookBub's products to help accomplish... ...and take-what-you-need paid time off. Remote work flexibility Please note: for this... ...and People Operations We personally review every application, and if we think there...Remote workFull timePart timeWork at officeLocal areaWork from homeFlexible hoursBookBub
Cambridge, MA2 days ago
